Case Study 3

Designing Therapy Spaces Without Walls

Reimagining safe environments for child-centered emotional healing through flexible, co-created experiences

Designing Therapy Spaces Without Walls

Reimagining safe environments for child-centered emotional healing through flexible, co-created experiences

Overview

In my private clinical practice as a psychologist, I worked closely with children and adolescents—many of whom were navigating autism spectrum conditions, depression, and trauma. I quickly saw how traditional therapy settings—closed offices, rigid chairs, white walls—often created more distress than relief.

To support emotional safety and trust, I began co-creating therapeutic environments with my clients. Sessions took place in parks, on walks, under trees, or inside homemade fabric tents in public spaces. Every detail—from the setting to the sensory rhythm—was shaped in partnership with the child.

The Problem

Conventional therapy rooms often felt intimidating, overstimulating, or disconnected

  • Children with autism or depression needed choice, agency, and sensory awareness in order to feel safe

  • Most therapeutic models lacked flexibility to adapt to the emotional and neurobiological needs of the client

  • There were few therapeutic environments designed with user participation and environmental UX in mind

My Role

Clinical Psychologist & Emotional UX Designer

  • Co-Facilitator of Therapy Contexts

  • Family Collaborator and Trust Builder


Objectives

Design therapy environments rooted in safety, flexibility, and child agency

  • Honor the sensory and emotional needs of neurodivergent and highly sensitive clients

  • Integrate nature, movement, and nonverbal communication into therapeutic flow

  • Create a space where healing can begin on the child’s own terms

Process

1. Listening First

With each client, I began by asking:
“Where would you feel most comfortable talking to me?”
Answers became the blueprint for our therapeutic space.

2. Co-Creating the Setting

We met in parks, on walking trails, beneath trees, inside makeshift tents, or wherever the child felt safest. These locations often reduced sensory overwhelm and restored autonomy—especially for clients on the autism spectrum or in depressive episodes.

3. Parent Integration

Parents were included in the process through collaborative consent, grounding rituals, and occasional closing reflections—allowing therapy to feel integrated, not isolated.

4. Observing the Impact

I documented changes in emotional openness, trust, regulation, and verbal expression across environments. Nature, freedom of movement, and sensory adaptation consistently led to deeper connection.

Tools I Used

Natural Environments · Fabrics & Symbolic Items · Sensory Grounding Techniques · Nonverbal Storytelling · Observation Logs · Consent & Feedback Rituals

Key Insights

For children with autism and depression, environment is not neutral—it’s decisive

  • Agency over space and mode of interaction fosters emotional safety and trust

  • Nature and movement are powerful co-regulators in therapeutic settings

  • Designing therapy collaboratively repositions the client as a co-creator of their own healing journey

Impact

Children previously disengaged in traditional therapy became consistent and expressive participants

  • Neurodivergent clients (especially those with ASD or depression) showed improved regulation, confidence, and emotional vocabulary

  • Parents reported feeling more connected to the process and better equipped to support their children

  • This model became foundational to how I now approach UX:
    Let the user shape the space where they feel safe.

Reflection

This wasn’t just therapy. It was experience design through empathy, nature, and co-agency.
I learned that true emotional UX begins by stepping outside the room—and letting the child guide the way.

As a researcher and designer, I now hold one question in every project I do:
What would this look like if it were designed by the person who needs it most?

Experience 2021-2025

Santiago